Organization
PBGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRIY BRONFMAN MD (MEDICAL DIRECTOR)
(718) 408-4999
Entity
Organization
Contact information
Practice address
14 DEKALB AVE, 4TH FLOOR, BROOKLYN, NY 11201-5311
(718) 408-4999
Mailing address
14 DEKALB AVE, 4TH FLOOR, BROOKLYN, NY 11201-5311
(718) 408-4999
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2014
Last updated
11/15/2015
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